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                <b>Jan-Jean, O&#39;Connel </b><br />
                TR  RD   Fall 2015   11/18/1985   CEEB: 470792  CAID: <b> 128 </b>
                <br />
                FERPA: Not Waived
            </td>
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</table>
          <h1>Profile</h1>

          <div class="ca-pdf-section">
            <h2>Personal Information</h2>
            <div class="ca-pdf-row">
              <div class="ca-pdf-title">Name</div>
              <div class="ca-pdf-content">
                Jan-Jean Sr., O&#39;Connel <i>J</i> (Frm. Name)              </div>
            </div>

            <div class="ca-pdf-row">
              <div class="ca-pdf-title">Preferred Name</div>
              <div class="ca-pdf-content">Prf. Name</div>
            </div>

            <div class="ca-pdf-row">
              <div class="ca-pdf-title">Sex, Birthdate</div>
              <div class="ca-pdf-content">Female, 01/02/2001</div>
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          <br/>
          <br/>
          <br/>

          <div class="ca-pdf-section">
            <h2>Contact Details</h2>

            <div class="ca-pdf-row">
              <div class="ca-pdf-title">Email, Phone</div>
              <div class="ca-pdf-content">mail@commonapp.org, +1.703-898-1234, Home, +1.703-898-1234, Mobile</div>
            </div>


            <div class="ca-pdf-row">
              <div class="ca-pdf-title">Permanent Address</div>
              <div class="ca-pdf-content">3033 Wilson Blvd Ste 500 Arlington, VA, 22201-3863, USA</div>
            </div>



            <div class="ca-pdf-row">
              <div class="ca-pdf-title">Alternate Address</div>
              <div class="ca-pdf-content">3033 Wilson Blvd Ste 500 Arlington, VA, 22201-3863, USA</div>
            </div>
              <div class="ca-pdf-row">
                <div class="ca-pdf-title"></div>
                <div class="ca-pdf-content"><text>(</text>01/01/2015 - 01/01/2016<text>)</text></div>
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            <h2>Demographics</h2>

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              <div class="ca-pdf-title">Religion</div>
              <div class="ca-pdf-content">Other New other  religion</div>
            </div>

            <div class="ca-pdf-row">
              <div class="ca-pdf-title">Military Status</div>
              <div class="ca-pdf-content">Currently Serving, Marine Corps  (01/2014 - 01/2016) </div>
            </div>


            <div class="ca-pdf-row">
              <div class="ca-pdf-title">Military Discharge Status</div>
              <div class="ca-pdf-content">Yes</div>
            </div>



            <div class="ca-pdf-row">
              <div class="ca-pdf-title">Status at Enrollment</div>
              <div class="ca-pdf-content">U.S. Reserves or National Guard</div>
            </div>



            <div class="ca-pdf-row">
              <div class="ca-pdf-title">Hispanic or Latino</div>
              <div class="ca-pdf-content">Yes 
                        <span class="ca-pdf-sub-a"><text>(</text>Central America, Cuba, Mexico, Puerto Rico, South America, Spain, Other: my other hispanic background<text>)</text></span>
              </div>
            </div>



            <div class="ca-pdf-row">
              <div class="ca-pdf-title">Race</div>
              <div class="ca-pdf-content">  <ul>
      <li>American Indian or Alaska Native
        <span class="ca-pdf-sub-a">
              (Alaska Native, Chippewa, Choctaw, Cherokee, Navajo, Sioux, Other, Other american indian and Alaska native)
        </span>
        <span class="ca-pdf-sub-a">
              Tribal enrollment: Yes, #23 Samba &amp; Zumba        </span>
      </li>

      <li>Asian 
        <span class="ca-pdf-sub-a">
              (China, India, Japan, Korea, Pakistan, Philippines, Vietnam, Other East Asia, Other South Asia, Other Southeast Asia, my Other East Asian bgk # 1, my Other South Asian bgk # 2, my Other Southeast Asian bgk # 3)
        </span>
      </li>

      <li>Black or African American
        <span class="ca-pdf-sub-a">
              (U.S. / African American, Africa, Caribbean, Other, my other african bkg #5)
        </span>
      </li>

      <li>Native Hawaiian or Other Pacific Islander 
        <span class="ca-pdf-sub-a">
              (Guam, Hawaii, Samoa, Other Pacific Islands (excluding Philippines), my other Islander bkg #6)
        </span>
      </li>

      <li>White 
        <span class="ca-pdf-sub-a">(Europe, Middle East, Other, my other white bkg #6)
              (Europe, Middle East, Other, my other white bkg #6)
        </span>
      </li>
  </ul>
</div>
            </div>
          </div>



          <div class="ca-pdf-section divAvoidPageBreak">
            <h2>Language</h2>

            <div class="ca-pdf-row">
              <div class="ca-pdf-title">English</div>
              <div class="ca-pdf-content">First Language, Speak, Read, Write, Spoken at Home </div>
            </div>

            <div class="ca-pdf-row">
              <div class="ca-pdf-title">Spanish</div>
              <div class="ca-pdf-content">First Language, Speak, Read, Write, Spoken at Home </div>
            </div>



            <div class="ca-pdf-row">
              <div class="ca-pdf-title">Aceh</div>
              <div class="ca-pdf-content">First Language, Speak, Read, Write, Spoken at Home</div>
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              <div class="ca-pdf-title">Afrikaans</div>
              <div class="ca-pdf-content">First Language, Speak, Read, Write, Spoken at Home</div>
            </div>



            <div class="ca-pdf-row">
              <div class="ca-pdf-title">Other, lang Other</div>
              <div class="ca-pdf-content">First Language, Speak, Read, Write, Spoken at Home</div>
            </div>

          </div>



          <div class="ca-pdf-section divAvoidPageBreak">
            <h2>Geography &amp; Citizenship</h2>


            <div class="ca-pdf-row">
              <div class="ca-pdf-title">Citizenship Status</div>
              <div class="ca-pdf-content">U.S. Citizen or U.S. National</div>
            </div>

            <div class="ca-pdf-row">
              <div class="ca-pdf-title">Birthplace</div>
              <div class="ca-pdf-content">
                        Toranto, Qu&#233;bec, Canada
                        (&lt; 1 Year US,
&gt; 20 Years Non-US)
              </div>
            </div>

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            <h2>CA Fee Waiver</h2>


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              <div class="ca-pdf-title">Fee Waiver Requested</div>
              <div class="ca-pdf-content">
                Yes, Signed: 1st student&#39;s fee-waiver sig.                <ul>
                  <li>
I have received or am eligible to receive an ACT or SAT testing fee waiver                  </li>
                  <li>
I am enrolled in or am eligible to participate in the Federal Free or Reduced Price Lunch program (FRPL)                  </li>
                  <li>
My annual family income falls within the Income Eligibility Guidelines set by the USDA Food and Nutrition Service                  </li>
                  <li>
I am enrolled in a federal, state, or local program that aids students from low-income families (e.g., TRIO programs such as Upward Bound)                  </li>
                  <li>
My family receives public assistance                  </li>
                  <li>
I live in federally subsidized public housing, a foster home or am homeless                  </li>
                  <li>
I am a ward of the state or an orphan                  </li>
                  <li>
I can provide a supporting statement from a school official, college access counselor, financial aid officer, or community leader                  </li>
                </ul>
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